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This study in Jordan described the pattern of acne in 166 untreated acne patients aged 13-42 years attending dermatology clinics and assessed patients' perceptions of factors that have an effect on their acne condition. Family history of acne was positive in 69.3% of acne patients. Emotional stress, hot weather and sweating were believed to be aggravating factors by acne patients of both sexes, and premenstrual factors and cosmetics were factors among women. Many acne patients believed that their acne was exacerbated by certain aspects of diet including nuts, chocolate, fatty food, fried food, eggs, cakes and biscuits, spices and coffee and tea